Robert R Mitchell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003461 Issued in WA

Practice address

9915 Sandifur Pkwy
Pasco, WA 99301-8941

Phone

(509) 546-2222

Fax

(509) 546-2202

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lourdes Hospital LLCGroup PAC ID 1850642562, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lourdes Hospital LLC

  • Internal Medicine Physician
  • Pasco, WA
  • NPI 1659861060
  Medicare reassignment Care Compare group NPD
• R & B Fleck Enterprises, LLC

  • General Practice Physician
  • Richland, WA
  • NPI 1225163926
  Medicare reassignment
• Lourdes Hospital LLC

  dba Lourdes Medical Center

  • Critical Access Hospital
  • Pasco, WA
  • NPI 1831284280
  NPD
• Lourdes Hospital LLC

  dba Lourdes Counseling Center

  • Psychiatric Hospital
  • Richland, WA
  • NPI 1548342181
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes West Pasco

  • Family Medicine Physician
  • Pasco, WA
  • NPI 1659505840
  NPD (past)
• Our Lady of Lourdes Hospital at Pasco

  dba Lourdes Urgent Care Radiology

  • Diagnostic Radiology Physician
  • Pasco, WA
  • NPI 1639503774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1629008222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LAUREL ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622640",
            "telephone_number": "509-522-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 SANDIFUR PKWY",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018941",
            "telephone_number": "509-546-2222",
            "fax_number": "509-546-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8147043",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C  LICENSE",
            "identifier": "PA10003461",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid Columbia Eyecare Center, Inc, PS
• Danielle Marie Miller, SLPA
• Terry Kay Miller, SUDPT
• Marsha Mirus
• Ashley Elizabeth Mitchell, MSW, LAICSW
• Crystal Molina
• Kelli J Molzhon
• Monarch Sleep Solutions LLC
• Alfred Monteilh Jr., MD
• Chrystal Shawntelle Montgomery, CDP

• Physician Assistant in Pasco, WA
• Providers in Pasco, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.